ROBLOX USERNAME:
ROBLOX JOIN DATE:
__________________________________________
Why do you want to apply for a position with the California Highway Patrol?:
What position are you looking for in the California Highway Patrol?:
Do you have any prior law enforcement experience?:
How did you find out about the California Highway Patrol?:
__________________________________________
Please list three references here, and relationship:
USERNAME:
RELATIONSHIP:
USERNAME:
RELATIONSHIP:
USERNAME:
RELATIONSHIP:
__________________________________________
Have you ever been incarcerated for any reason in the State of California? (If so, list why):
Is there anything that can disqualify you as an applicant with the California Highway Patrol?:
Would you be willing to go through Peace Officer Standards Training?:
__________________________________________
Signature,
_______________
DATE:
TIME:
__________________________________________
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